NPI | 1316146665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A111795) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 5601) |
207Q00000X Family Medicine (Licence: CA A111795) | |
Enumeration Date | 2007-07-17 |
Last Update Date | 2017-01-24 |